Polk County Radiology Llc

LBN: Polk County Radiology Llc
Polk County Radiology Llc is an health care organization with primary practice located at 1500 N Oakland Ave Dept. Of Radiology, Bolivar MO 65613-3011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Polk County Radiology Llc can be contacted via phone (417) 326-6000, or through Reber, Richard via phone (417) 328-6446.

Contact Information

Primary practice address
1500 N Oakland Ave Dept. Of Radiology Bolivar MO 65613-3011
Phone: (417) 326-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reber, Richard Doctor of Medicine (MD)
Phone: (417) 328-6446

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780642249
LBN Legal business name Polk County Radiology Llc
DBA Doing business as
Authorized official Reber, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Aug 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780642249 NPPES
Missouri MEDICAID 503989600
Missouri Other 110449

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